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diagnosis workup anesthesia intraoperative cardiac differential algorithm icu admissions admitting anaphylaxis arrest bradycardia cardiomyopathy chf clinical complexes congenital cooling delirium
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... family history) Treatment ... Syndrome #Diagnosis #Cardiology
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... clinical context & EKG ... #CriticalCare
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Anesthesiology
Checklist for Treatment of Delirium in the ICU Remove causative factors - Exclude hypoglycemia if
Checklist for Treatment ... interruption (e.g ... in the night (e.g ... #Management #Treatment ... #MICU #CriticalCare
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Torsades de Pointes - Management ... Drugs that prolong QT ... Congenital long QT ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Cardiac #Tamponade #Anesthesiology ... Intraoperative #Checklist
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... ., long QT syndrome ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... (eg. remifentanil ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
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